Employment Application

Personal Information

Name (First, Middle, Last)

Date of birth

Street Address

City
State
ZIP

Home Phone Number

Your Email (required)

Are you eligible to work in the United States?
 Yes
 No

Have you been convicted of a felony?
 Yes
 No
If yes, please explain:

Availability

Are you looking for a seasonal position? (Summer, Holidays etc)

 Yes
 No
Are you seeking this position as primary employment or secondary employment?

 Primary
 Secondary
How many hours per week are you looking to work?

 <10
 10-20
 20-30
 30-40
 40+

Day/Hours Available:

Sunday

to

Monday

to

Tuesday

to

Wednesday

to

Thursday

to

Friday

to

Saturday

to

Education

List your educational experience beginning with the most current

 Currently Enrolled?
Name of school


Major/Diploma

Graduation Date

Name of school


Major/Diploma

Graduation Date

Name of school


Major/Diploma

Graduation Date

Skills and Qualifications: Licenses, Training, Awards

Please list any and all dog experience you have that would make you a good candidate for this position:

Please list any leadership, managerial or shift lead experience you have:

Employment History

Present or Most Recent Position
Employer

Address

Supervisor

Phone

Position title

From
to

Responsibilities

Starting wage

Ending wage

Reason for leaving

Previous Position
Employer

Address

Supervisor

Phone

Position title

From
to

Responsibilities

Starting wage

Ending wage

Reason for leaving

May we contact your present employer?

 Yes
 No

References

Name
Occupation

Address
Phone

Name
Occupation

Address
Phone

Name
Occupation

Address
Phone

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for my immediate termination of employment any point in the future if I am hired. I authorize the verification of any or all information listed above.